Most Relevant Information
Provider Data
| NPI Number: | 1003309329 |
| Provider Name: | LAMA M GHAZAL RBT #18-58037 |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 18-58037 |
Most Important Dates
| Enumeration Date: | 06/11/2018 |
| Last Updated: | 06/11/2018 |
Provider Practice Location
400 E ROYAL LN BLDG 3
IRVING
TX
750393540
Practice Location Phone/Fax
| Phone: | 8558326727 |
| Fax: |
Provider Mailing Location
6504 MITRA DR
AUSTIN
TX
787391900
Provider Mailing Phone/Fax
| Phone: | 5124619043 |
| Fax: |